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General NPI Number Information
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NPI Number | 1417867060
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Entity Type | Individual
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Provider Name | CODY CHRISTOPHER ELLIOTT
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Gender | Male
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 12330 K PLZ
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City | OMAHA
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State | NE
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Zip | 68137-2269
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Country | US
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Telephone | 531-772-0262
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Fax |
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Provider Business Mailing Address
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Address Line | 3485 COUNTY ROAD K
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City | TEKAMAH
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State | NE
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Zip | 68061-4139
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Country | US
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Telephone | 402-838-1234
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2239
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License Number State | NE
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